Chapter 9-3 - Airway Management

domineeringdodo's version from 2015-06-07 05:41

Critical Thinking

Question Answer
You are dispatched to a residence where a middle-aged man was found unconscious in his front yard. There are no witnesses who can tell you what happened. You find him in a prone position; his eyes are closed and he is not moving. Your FIRST action should be to...
     A.) palpate for the presence of a carotid pulse.
     B.) log roll him as a unit to a supine position.
     C.) assess the rate and quality of his breathing.
     D.) open his airway with a jaw-thrust maneuver.
A 19-year-old female is found unconscious by her roommate. Your primary assessment reveals that her breathing is inadequate. As you insert an oropharyngeal airway, she begins to gag violently. You should...
     A.) continue to insert the airway as you suction her oropharynx.
     B.) remove the airway and be prepared to suction her oropharynx.
     C.) insert the airway no further but leave it in place as a bite block.
     D.) select a smaller oropharyngeal airway and attempt to insert it.
A 71-year-old male is semiconscious following a sudden, severe headache. There is vomitus on his face and his respirations are slow and shallow. The EMT must immediately...
     A.) insert a nasopharyngeal airway.
     B.) perform oropharyngeal suctioning.
     C.) apply oxygen via a nonrebreathing mask.
     D.) assist the patient’s ventilations with a bag-mask device.
You are ventilating an apneic woman with a bag-mask device. She has dentures, which are tight-fitting. Adequate chest rise is present with each ventilation, and the patient’s oxygen saturation reads 96%. When you reassess the patency of her airway, you note that her dentures are now loose, although your ventilations are still producing adequate chest rise. You should...
     A.) remove her dentures, resume ventilations, and assess for adequate chest rise.
     B.) attempt to replace her dentures so that they fit tightly and resume ventilations.
     C.) leave her dentures in place, but carefully monitor her for an airway obstruction.
     D.) remove her dentures at once and increase the rate and volume of your ventilations.
You have inserted an oral airway and are ventilating an apneic woman with a bag-mask device. She suddenly begins regurgitating large amounts of vomit. You should...
     A.) perform a finger sweep of her mouth.
     B.) insert a nasal airway and then suction her mouth.
     C.) roll her onto her side and remove the oral airway.
     D.) remove the oral airway and suction her oropharynx.
A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway?
     A.) Suction his oropharynx with a rigid catheter until all secretions are removed.
     B.) Insert a nasopharyngeal airway and provide suction and assisted ventilations.
     C.) Alternate 15 seconds of oral suctioning with 2 minutes of assisted ventilation.
     D.) Provide continuous ventilations with a bag-mask device to minimize hypoxia.
A 51-year-old female presents with a sudden onset of difficulty breathing. She is conscious and alert and able to speak in complete sentences. Her respirations are 22 breaths/min and regular. You should...
     A.) administer 100% oxygen via a nonrebreathing mask.
     B.) insert a nasal airway in case her mental status decreases.
     C.) perform a secondary assessment and then begin treatment.
     D.) assist her breathing with a bag-mask device and 100% oxygen.
You and your partner are treating a 66-year-old man who experienced a sudden onset of respiratory distress. He is conscious but is unable to follow simple verbal commands. Further assessment reveals that his breathing is severely labored and his oxygen saturation is 80%. You should...
     A.) attempt to insert an oropharyngeal airway.
     B.) assist his ventilations with a bag-mask device.
     C.) apply a continuous positive airway pressure (CPAP) device and monitor his breathing.
     D.) apply high-flow oxygen via nonrebreathing mask.
You are ventilating a 40-year-old uninjured man who is apneic but has a pulse. When your partner reassesses his blood pressure, he notes that it has decreased significantly from previous readings. You elevate the patient’s legs, but this action has no effect. You should:
     A.) reevaluate the rate and volume of your ventilations.
     B.) perform a head-to-toe assessment to look for bleeding.
     C.) increase the volume of your ventilations and reassess his blood pressure.
     D.) ensure that you are delivering one breath every 3 to 5 seconds.
You and your partner are caring for a critically injured patient. Your partner is controlling severe bleeding from the patient’s lower extremities as you attempt ventilations with a bag-mask device. After repositioning the mask several times, you are unable to effectively ventilate the patient. You should...
     A.) begin ventilations using the mouth-to-mask technique.
     B.) hyperextend the patient’s head and reattempt ventilations.
     C.) continue attempted ventilations and transport immediately.
     D.) suction the patient’s airway for 30 seconds and reattempt ventilations.
Despite your attempts to coach a conscious young female’s respirations, she continues to hyperventilate with a marked reduction in tidal volume. You should...
     A.) restrain her and provide ventilatory assistance.
     B.) insert a nasopharyngeal airway and give oxygen.
     C.) explain to her that you will assist her ventilations.
     D.) ventilate her at the rate at which she is breathing.
You are ventilating a patient with a stoma; however, air is escaping from the mouth and nose. To prevent this, you should
     A.) thrust the jaw forward.
     B.) seal the mouth and nose.
     C.) ventilate with less pressure.
     D.) thoroughly suction the stoma.
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient includes...
     A.) a series of back blows and chest thrusts.
     B.) finger sweeps to remove the obstruction.
     C.) performing a series of abdominal thrusts.
     D.) encouraging him to cough and transporting.
While eating dinner, your partner suddenly grabs his throat and has a panicked look on his face. He has a weak cough, faint inspiratory stridor, and cyanosis around the lips. You should...
     A.) encourage him to cough as forcefully as he can.
     B.) deliver up to five back blows and reassess him.
     C.) place him in a supine position and open his airway.
     D.) stand behind him and administer abdominal thrusts.